Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $74.02 / $129.87	Facility		$29.25	$74.02	$129.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $32.36 / $33.15	Professional		$29.25	$32.36	$33.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $189.93	Facility		$39.00	$39.00	$189.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $20.20	Professional		$15.60	$15.60	$20.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $88.74 / $132.84	Professional		$58.07	$88.74	$132.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $67.17 / $176.65	Facility		$27.26	$67.17	$176.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.89 / $45.02	Professional		$12.91	$19.89	$45.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $48.75 / $57.72	Professional		$46.80	$48.75	$57.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $28.40 / $33.15	Facility		$16.82	$28.40	$33.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $26.00 / $36.00	Professional		$5.63	$26.00	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $45.35 / $4,071.00	Facility		$15.72	$45.35	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $46.30 / $4,071.00	Professional		$19.50	$46.30	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $17.55 / $23.40	Professional		$11.50	$17.55	$23.40